Skilled Nursing Facility Advisory
The right length of stay. A safe discharge home.
Resident-first consulting for skilled nursing facilities: Medicare Advantage options education, and clinical consulting that reduces avoidable hospitalizations. Led by an experienced licensed nursing home administrator.
Multi-state experience
What we do
Two services. One goal: the right care for every resident.
Service 1
Medicare Advantage Options Education
On-site, resident-first education so residents understand their coverage options and keep the length of stay they need.
Learn moreService 2
Clinical Consulting
We partner with medical directors, nurse practitioners and nurses to help you reduce avoidable hospitalizations and strengthen in-house care.
Learn moreService 1 · Medicare Advantage Options Education
Medicare Advantage plans often end coverage too early
Plans tend to close out goals quickly, sometimes while a resident is still making real progress in therapy. The cost of that cut shows up later.
Cut short
Coverage ends while the resident is still progressing.
Rushed home
No time to arrange aides, equipment and support at home.
Readmitted
An avoidable return to the hospital.
The resident journey
Same resident. Two very different outcomes.
When coverage is cut short
- Admitted for rehabMaking steady gains in therapy.
- Plan ends coverageOften around three weeks, mid-progress.
- Rushed homeNo time for aides, equipment or support.
- Back in the hospitalAn avoidable readmission.
With Patient Priority
- Admitted for rehabScreened with nursing and rehab.
- Educated on optionsBalanced information. The resident decides.
- Finishes recoveryReaches their best level of function.
- Home, and stays homeA safe, planned, lasting discharge.
Why outside, not in-house
We own the process, start to finish
Your team is already stretched. We bring a dedicated consultant into your building who handles the education and the follow-through.
Handled in-house
- A side job for busy staff
- Not insurance specialists
- Can feel like a revenue push to families
- Easy to miss a step
With Patient Priority
- One consultant, on site monthly or as needed
- Every plan screened before any conversation
- Balanced, resident-first education
- Every step documented, with informed consent
We educate. Residents decide. Your team processes the form.
The Patient Priority principle
How it works
A clear, documented process every month
Screen with your team
We review residents with your DON, nursing and rehab to find those still making progress.
Educate the resident
We explain every option, benefits and drawbacks, to the resident or their legal representative.
Document the choice
Informed consent is signed and filed. The resident decides; your team processes the form.
Plan the way back
We connect residents with insurance specialists for re-enrollment before discharge.
Who we approach, and who we don't
Three checks, every resident
Check 1
Still progressing
Rehab and nursing confirm real gains ahead.
Check 2
Able to decide
Cognition confirmed, or we speak with the legal representative.
Check 3
A safe way back
Plan screened, and re-enrollment planned before discharge.
Interested in Medicare Advantage options education for your building?
Download the intake formWhat it means for your facility
Better outcomes, built on resident care
Fewer rehospitalizations
Fewer 30-day returns caused by a premature coverage cut.
Stronger hospital relationships
Referral partners see residents leaving stable, not coming back.
Safe, lasting discharges
Residents reach their best level of function before they go home.
Service 2 · Clinical Consulting
Fewer avoidable hospitalizations. Stronger care in your building.
We partner with experienced medical directors, nurse practitioners and clinical nurses to evaluate your hospital transfers and clinical care, then work alongside your staff to safely manage more residents in-house and lower your return-to-hospital (RTH) rate.
Who we work with
Our transfer review
Every hospitalization, reviewed and classified
Hospitalization review
We determine which transfers were potentially avoidable and which were necessary, and why.
Clinical care assessment
We evaluate how your team recognizes, documents and responds to changes in condition.
In-house care capability
We advise on protocols, rounding and oversight so more residents can be treated safely in your building.
RTH tracking and reporting
Monthly reporting on your return-to-hospital rate, with trends by unit, diagnosis and shift.
Packages
Not one size fits all
Every facility's needs are different. Choose the level of support that fits your building, from monthly remote review to a full on-site clinical partnership. Each tier can be tailored.
Essential
Remote Review
Monthly expert eyes on your hospitalizations, without anyone on site.
- Monthly remote review of hospital transfers
- Avoidable vs. unavoidable classification
- Monthly consultation call with your leadership
- RTH tracking report
Enhanced
Clinical Guidance
Remote review plus on-site clinical oversight and guidance.
- Everything in Remote Review
- Periodic on-site clinical review visits
- Change-in-condition and care protocol guidance
- Staff education and in-services
Most comprehensive
Comprehensive
Full Clinical Partnership
Complete clinical oversight, built and managed with you.
- Everything in Clinical Guidance
- Medical director selection and oversight
- Nurse practitioners rounding on site with your team
- Dedicated clinical reviewers
- Ongoing on-site oversight and reporting
Tiers, offerings and pricing are tailored to each facility. Contact us to find the right fit.
Ask about tiers and pricingWe never discourage a needed transfer. When a resident needs the hospital, they go. Our work focuses only on hospitalizations that, on review, could have been safely prevented or managed in the building, and every treatment decision stays with the resident's physician and care team.
About
Led by an administrator who has run this process
Patient Priority Consulting is led by Joshua Sontag, a nursing home administrator licensed in multiple states, with more than a decade in skilled nursing operations spanning corporate oversight, back-office management and facility leadership.
Joshua has built and run this resident education process across many healthcare facilities. He knows the clinical, regulatory and operational sides of a building, and how to keep resident care at the center of every decision.
- Licensed NHA
- Licensed in multiple states
- 10+ years in skilled nursing operations
Get started
Start with a short intake form.
Choose the form for the service you're interested in, or fill out both. Each is a short, fillable PDF. Best estimates are fine, and we ask for aggregate information only, never resident names. Our first conversation will be built on your building.
- 1Download and fill out the form for your service
- 2Email it to patientpriorityconsulting@gmail.com
- 3We schedule a call to walk through your facility
Pricing
Simple, transparent, and built around your building
We're paid for our time reviewing residents, never per outcome. Call or email us for pricing based on your census.
Contact
Start with a conversation.
Tell us about your residents and your current process. We'll walk through how this would work in your building.